Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $426.81 / $426.81	Professional		$351.82	$426.81	$426.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $405.63 / $576.60	Professional		$142.41	$405.63	$576.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.95 / $760.42 / $1,203.88	Professional		$455.95	$760.42	$1,203.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.82 / $751.50 / $1,247.86	Professional		$378.82	$751.50	$1,247.86
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.31 / $678.96 / $1,124.79	Professional		$424.31	$678.96	$1,124.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00